MEDICARE: NICOLE PIZZOLATO RODGERS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	6533	TN

General Provider Information

NPI Number	:	1417318338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE PIZZOLATO RODGERS OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 306556
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37230-6556
Country	:	US
Telephone Number	:	615-329-2294
Fax Number	:	615-695-1494

Provider Business Practice Location Address
First Line	:	8 CITY BLVD STE 100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-2558
Country	:	US
Telephone Number	:	615-263-0155
Fax Number	:	615-263-0171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2016
Last Update Date	:	07/10/2025

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